Request edit access
2025 Brennan Courthouse Autism Acceptance Flag Raising Ceremony!
Date: April 2, 2025

Time: 4:00 pm - 4:30 pm

Address: Brennan Courthouse 583 Newark Avenue Jersey City, NJ 07306

Free event! Please join Whole Spectrum Autism and the City of Jersey City as we raise the Autism Acceptance flag for April which is Autism Acceptance Month. Please show your support for this amazing cause. 

For any questions, EMAIL -- office@wholespectrumautism.org

Sign in to Google to save your progress. Learn more
Flag Raising Brennan Courthouse
Email *
FIRST NAME of Parent(s) / Guardian(s) *
LAST NAME of Parent(s) / Guardian(s) *
Phone number *
Number of Guests Attending (including child or adult with autism):
Limit of 4 guests per family. *
NAME and AGE of Child or Adult with autism, on the spectrum and/or other intellectual or developmental disability * *
Names and Relationships of Family Members Attending (to the Child/Adult on the Spectrum) *
Photographs and/ or video WILL be taken at this event. By taking part in this event you grant the event organizers full rights to use the images resulting from the photography/ video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group's aims. This might include but is not limited to, the right to use them in their printed and online publicity, social media, press releases and funding applications. *
Required
Each family must provide their credit card information as part of the registration process. While this experience is provided free of charge by Whole Spectrum Autism, a $35 no-show fee will be charged for every two individuals who fail to attend without notifying Whole Spectrum Autism by the last permitted day to cancel. By registering, I acknowledge and agree to inform Whole Spectrum Autism promptly if I cannot attend, allowing others on the waitlist to participate. *
Required
Credit Card Number *
Expiration Date (Month and Year) *
CVV *
Billing Zip Code *
Thank you for registering for the Autism Acceptance Flag Raising Event!
Please note that this event will take place outdoors. We welcome you all to come out and have fun!

Remember to hit 'Submit' to complete your registration.

Please arrive promptly, and if you need to cancel, kindly notify us in advance by April 1st at office@wholespectrumautism.org
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms